Cardiology

Coronary Care

Rescue Coronary Angiography after Failed Thrombolysis: A Real-Life Experience

Gruberg L. · Di Segni E. · Agranat O. · Har Zahav Y. · Freimark D. · Kaplinsky E. · Hod H.

Author affiliations

The Heart Institute, Chaim Sheba Medical Center, Tel Hashomer and Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel

Keywords: Acute myocardial infarctionThrombolysisPercutaneous transluminal coronary angioplasty

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Cardiology 1998;90:48–51
https://doi.org/10.1159/000006816

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Article / Publication Details

First-Page Preview
Abstract of Coronary Care

Published online: August 14, 1998
Issue release date: July 1998

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: https://www.karger.com/CRD

Abstract

Failed thrombolysis in acute myocardial infarction (AMI) patients is associated with a high risk of morbidity and mortality. Rescue or salvage percutaneous transluminal coronary angioplasty (PTCA) in this group of patients is still controversial. We report our experience with early emergency angiography and rescue PTCA in 27 patients who were hemodynamically unstable or had a large area of myocardium at risk after failed thrombolysis. Rescue PTCA was successful in 95% of attempted PTCA. Three patients were referred to emergency CABG. Early ‘rescue angiography’ with or without rescue PTCA after failed thrombolysis in a selected patient population, is an important tool for early risk stratification and decision-making during the hyperacute phase of AMI, while it may also serve in restoring coronary artery patency of the infarct-related artery with a high success rate.



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Article / Publication Details

First-Page Preview
Abstract of Coronary Care

Published online: August 14, 1998
Issue release date: July 1998

Number of Print Pages: 4
Number of Figures: 0
Number of Tables: 0

ISSN: 0008-6312 (Print)
eISSN: 1421-9751 (Online)

For additional information: https://www.karger.com/CRD

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1998, Vol.90, No. 1

July 1998

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